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Solthis started operations in Niger in 2004 in order to extended care delivery to the entire country. Today, 29 treatment sites are supported to address four key health issues: HIV/AIDS, tuberculosis, malaria and mother and child health.

Carte Niger

Population (millions) 17,1
Life expectancy at birth 58,4
HDI rank 187
Fertility rate 7,6
Infant mortality per 1,000 births 63
Number of physicians per 10,000 population 0,2
Total health expenditures (% of GDP) 5,3 %

Sexual and reproductive health

Niger has one of the highest fertility rates in the world, at more than seven children for each woman. While the health situation in terms of infant and infant-juvenile mortality has improved, there are still major challenges in sexual and reproductive health as well as maternal and neonatal mortality.


The WHO reports 850,000 cases each year since 2010. Malaria is the leading cause of death among the most fragile groups: pregnant women and children under five.


The number of cases detected in the past three years has risen by 3.7% annually while the rate of successful treatment is declining, due in particular to increasing no-shows.


In 2014, 41,000 people were living with HIV/AIDS, including 9,000 children. Of these 9,000 children, only 7% have access to antiretroviral treatments.

 Our operating context

  • Started: 2004
  • Partners: ULSS (AIDS sector battle unit, Ministry of Health), CISLS (inter-sector coordination of the battle against STD/HIV/AIDS)
  • 29 sites supported
  • 12 health professionals mobilized in the field, including 8 nationals
  • 8 areas of operation: Niamey, Tillabéry, Zinder, Dosso, Maradi, Diffa, Tahoua, Agadez
  • Focus of operations: HIV/AIDS, tuberculosis, mother-child health, hepatitis

Solthis has been present in Niger since 2004.                                                                  

Approached by INAARV—Initiative for Access to Antiretrovirals—to help it develop HIV/AIDS treatment throughout the country, Solthis provides support for decentralization. The goal is to provide all populations, especially those living in outlying areas generally overlooked by the care circuit, with access to quality care.

2009-2010: Successful decentralization of access to treatment through regional hospitals

2010-2013: Extension of decentralization to district hospitals. Autonomy established for those involved in medical treatment.      

2013: Guidance in decentralization throughout the country and introduction of tools for gathering and analyzing patient data, through the CASSIS project (capacity for access to care and the health information system).

Decentralization of HIV/AIDS treatment

  • Reinforce the capacity of medical and paramedical staff as well as professionals responsible for treatment, biological monitoring and supply: training, tutoring.
  • Consolidate the supervisory role of regional and national health authorities.

Introduction of a health information system

  • Introduce a patient monitoring software.
  • Help optimize data gathering and analysis.
  • Train officials responsible for administering and implementing the data gathering system.

Operational research

  • Diagnose tuberculosis in seropositive patients.
  • Detect HIV/Hepatitis B co-infection in children with HIV.
  • Address the problem of treating viral hepatitis.

Mother and child health

  • Screen for HIV in malnourished children at CRENIs (intensive refeeding centers).
  • Screen for HIV in children with tuberculosis.
  • Support the delegation of tasks and the training of midwives for screening, treatment and monitoring of seropositive pregnant women and nursing infants exposed to HIV.

Therapeutic education and psychological treatment

Solthis is guiding national partners to integrate psychological accompaniment into treatment for HIV/AIDS, in a national context of a shortage of psychologists and psychiatrists.

  • Produce specific tools and a training manual.
  • Delegate psychological care to senior mental health technicians (SMHT).
  • Develop training modules for physicians and paramedics.


  • Support ordering, inventory management and prevention of interruptions in supply of health products.
  • Implement a national pharmaceutical management software.



Solthis’ address in Niger

Niger – Niamey

Quartier Issa Beri

Route Mohamed VI

Porte 793 – BP 10393

Country action




Health priority

HIV / AIDSTUBERCULOSISMALARIAHEPATITISSexual and Reproductive Health and RightsCOVID-19Emerging DiseasesChild Health

Associated contents

Solthis' Report: “Managing Risk in Fragile States: Putting Health First! Optimising the Efficiency of the Global Fund’s Grants”

2014 |  Scientific Papers |  , ,


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“Managing Risk in Fragile States: Putting Health First!

Optimising the Efficiency of the Global Fund's Grants”

This evidence-based report is the result of a work over several months, including 4 missions (Guinea, Mali, Niger and Sierra Leone) and interviews with 140 stakeholders. Through this work, we identified bottlenecks in the implementation of the Global Fund's grants in the field, showing that the Global Fund's Risk Management Policy is not well-adapted to fragile states. The additional safeguard measures which have been put in place by the Secretariat after the investigations of the Office of the Inspector General were meant to mitigate the financial risks and to reassure donors. However, experiences in challenging operating environments clearly show that these measures are mainly focused on financial risks and have caused significant malfunctions that jeopardise both the impact and the sustainability of the programmes. In order to make progress and to cope with the challenges specific to fragile states, we think it is now time for the Board members and the donors of the Global Fund to opt for an ambitious and innovative policy, which would put financial risk at its proper place: behind risks to public health. The main recommendations we are addressing in the report aim to place the public health risk at the centre of the mechanism, by:
  • Improving the balance between the analysis and the management of the different risks.
  • Simplifying and clarifying the control procedures: limit the number of contractors and the levels of validation.
  • Defining indicators or objectives for terminating additional safeguard measures to encourage appropriation and capacity building.
  • Investigating the possibility of an increased presence of the Global Fund in the field, by missions of several weeks or several months.
  • Adapting the indicators and procedures of performance-based funding and accountability measures to fragile states.
Full version of the report in English here You can also read our 4-pages booklet here The article of Altermondes dedicated to this topic and the interview of the author Hélène Roger

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Study of the treatment costs of HIV/AIDS patients in Niger

2008 |  Research papers


Author : S. Walker Partner : Sciences Po

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AIDS Impact – Marseille, july 2007

2007 |  Posters


Compliance in Niger : a socio-anthropological approach useful for action Author(s) : JP. Olivier de Sardan, L. Pizarro, A. Diarra, A. Moumouni, C. Nicoué

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HIV prevalence and impact on renutrition in children hospitalised for severe malnutrition in Niger : an argument for more systematic screening

2011 |  Scientific Papers


Author(s) : A. Madec, D. Germanaud, V. Moya-Alvarez, W. Alkassoum, A. Issa, M. Amadou, S. Tchiombiano, C. Pizzocolo, F. Huber, S. Diallo, R. Abdoulaye-Mamadou Journal : PLOS ONE - Volume 6 - Issue 7 - e22787

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High prevalence of antiretroviral drug resistance among HIV-1-untreated patients in Guinea-Conakry and in Niger

2011 |  Scientific Papers


Author(s) : Charpentier C, Bellecave P, Cisse M, Mamadou S, Diakite M, Peytavin G, Tchiombiano S, Teisseire P, Pizarro L, Storto A, Brun-Vézinet F, Katlama C, Calvez V, Marcelin AG, Masquelier B, Descamps D. Journal : Antiviral Therapy 2011;16(3):429-33

  Download resources  DOI : 10.3851/IMP1754

Genetic Diversity and Drug Resistance Mutations in HIV-1 fromUntreated Patients in Niamey, Niger

2011 |  Scientific Papers


Author(s) : Saïdou Mamadou, Yahayé Hanki, Amadou Roufaï, Ali Maazou, Balki Aoula, Sanata Diallo Journal : ISRN Microbiology - Volume 2011, Article ID 797463

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Solthis’ Scientific Day 2011

2011 |  Conferences


Pr C. Katlama, Pr G. Brücker et S. Calmettes

Prof. C. Katlama, Prof. G. Brücker et S. Calmettes

On the occasion of its General Assembly, Solthis held Wednesday, July 6 at the Pitié-Salpêtrière, the 4th day meeting. Teams Solthis and partners in the field were present, especially from Mali, Guinea, Niger and Haiti. The presentations are available below on this page.
    HIV testing: a challenge?
Y. Yazdanpanah, F. Huber, R. Tubiana, M. Idé

Y. Yazdanpanah, F. Huber, R. Tubiana, M. Idé

At the "Test and Treat", screening is an important theme in African contexts, as in Western countries. Also, the first workshop of the Scientific Day Solthis it was dedicated, moderated by Dr. M. Ide (Niger) and Dr. R. Tubiana (Paris). In his introduction, Dr. F. Huber (Solthis) presented the technical aspects of "rapid tests" raising the question of the limits of these tests, and the problem of lack of due process and the frequent inability to meet the temperature conditions recommended by the suppliers. This presentation was followed by a review of different screening strategies and the historical evolution of paradigms: the screening called "voluntary" to "provider-initiated testing for carers" as advocated by WHO and the various authorities health. Aspects of "cost effectiveness" of screening were then analyzed by Prof. Y. Yazdanpanah (Tourcoing). Dr. F. Lamontagne (Solthis Guinea) and Prof. M. Cisse (Guinea) have supported these statements by the West African experiences Solthis on screening in the care environment "opt out". If this type of screening "at the initiative of the caregiver" has made great advances in PMTCT or in tuberculosis centers, much remains to be done in other departments of medicine, where a high proportion of patients is not detected, not supported. Mobilization on this issue is more strategic than ever.

ARV supply and Stock-outs
Z. Ankourao (Niger)

Z. Ankourao (Niger)

Despite the investment of Solthis on supply issues (ARV, all health products ...), stock-outs, especially for ARVs, are still common in the field and directly threaten the health of patients. The session dedicated to these issues was conducted by two doctors Dr. B. Diallo (Mali) and Dr. PM Girard (Paris). E. Guillard (Solthis Pharmacy Manager) said the overall functioning of the supply before presenting the main causes that lead to situations of stockouts. The threat of disruption of Guinea in February 2011 was taken as an example to highlight the failures at different levels of decision making. Teams in the field of pharmacy Solthis and their partners then described their daily actions, emphasizing the mode of intervention or Solthis tools developed together, such as coordinating groups and committees for monitoring supplies, tables edge compilation, analysis, alerting, quantification tools ... Finally, J. Langlois (Sidaction) and F. Foguito (TAW), representing civil society, concluded the session by the role of associations to fight against breakage, and more widely to improve the quality of care.  

News in virology
Prof. V. Calvez (Pitié-Salpêtrière, Paris) presented the situation of primary resistance throughout the world, before recalling the consequences attributable to virological choice of first-line treatments. He raised the problem of low genetic barrier of molecules commonly used in countries with limited resources (especially NNRTIs), especially when access to viral load is small or nonexistent.

Maintaining in the circuit of care
This session, moderated by Prof. M. Cisse (Guinea) and Dr. G. Breton (Paris), addressed the issue of retention of patient care in the circuit, through various initiatives. After a general introduction of G. Lurton (Solthis), Dr. M. Ide (National Hospital of Niamey) lamented the difficulties of long-term monitoring of HIV patients in Niger, based on the experiences of ambulatory treatment center and day hospital in Niamey. The experience of Medecins du Monde, supporting marginalized populations in integrated centers in Asia, was reported by Dr. N. Luhman. Finally, Dr. Claude Pean, Haitian Institute Pereo Fame, introduced the operation of the center of Port-au-Prince, who has built an international program based on improving the encrypted performance.

ICIUM – Alexandria, february 2011

2011 |  Posters


Development of a tool for simple visualisation of periods of ARV therapy availability in a context of expanding treatment coverage
Author(s) : E. Guillard, X. Paris, S. Ouvrard, M. Diallo, L. Pizarro
Encourage appropriate use of pediatric antiretrovirals with a demonstration kit in pharmacies results 18 months after kit was made available in 2 HIV/AIDS pediatric treatment centers in Niamey, Niger
Author(s) : S. Ouvrard, I. Also Mariama, O. Zalika, E. Guillard

International Aids Society – Vienna, july 2010

2010 |  Posters


HIV prevalence and renutrition in children hospitalised for severe malnutrition in Niamey (Niger) Autor(s) : R. Maiga-Mamadou, W. Alkassoum, M. Hamadou, A. Abdou, C. Pizzocolo, S. Diallo, C. Dezé, V. Moya-Alvarez, F. Huber, Y. Madec

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International Aids Society – Vienne, juillet 2010



HIV prevalence and renutrition in children hospitalised for severe malnutrition in Niamey (Niger) Autor(s) : R. Maiga-Mamadou, W. Alkassoum, M. Hamadou, A. Abdou, C. Pizzocolo, S. Diallo, C. Dezé, V. Moya-Alvarez, F. Huber, Y. Madec

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Francophone Conference – Casablanca, march 2010

2010 |  Oral presentations


Evolution de la prise en charge du VIH à Ségou entre 2003 et 2009 Author(s) : L. Diakité, D. Katilé, , N. Diallo, A. Doumbia, MS. Koné, B. Coulibaly, A. Sidibé, Y. Coulibaly, A. Akondé, G. Lurton, F. Huber Download the presentation   Evaluation de la mise en place du dépistage et de la prise en charge du VIH au centre antituberculeux Carrière, à Conakry (Guinée) Author(s) : LM. Camara, B. Bah, D. Touré, P. Kourouma, L. Hajouji, C. Katlama, F. Huber, O. Sow Download the presentation   Délégation de la prescription des antirétroviraux aux paramédicaux dans la PTME à Ségou (Mali) Author(s) :A. Doumbia, A. Sidibé, AT. Traoré, A. Akondé, F.Z.T. Sangaré, DC. Traoré, M. Maiga, AM. Soumaré, F.D. Cissé, SD. Naman, G. Lurton, C. Katlama, F. Huber Download the presentation   Charge virale en routine dans un pays à ressources limitées : le cas du Niger Author(s) : Dr Hanki, H. Yahayé, S. Mamadou, I. Aboubacar, R. Ali Maazou, I. Dillé, C. Dézé, S. Diallo, F. Huber, M. Amadou, F. Maïga Download the presentation   L'épidémiologie des perdus de vue dans les programmes VIH/SIDA Author(s) : E. Poulet, M. Pujades-Rodriguez Download the presentation   L'approche anthropologique des ruptures de suivi médical des personnes vivant avec le VIH : l'exemple de Kayes (Mali) Author(s) : S. Carillon, V. Petit Download the presentation   Les patients sous ARV perdus de vue : l'expérience de l'ONG WALE Author(s) : D. Katilé Download the presentation

Francophone Conference – Casablanca, march 2010

2010 |  Posters


Corrélation entre les activités d'éducation thérapeutiques (ETP) et l'échappement virologique au Niger : Les activités d'ETP sont-elles favorables au succès virologique ? Autor(s) : H.Baoua, M. Naba Fati, I.Amy, F.Maïga, M.Saidou, G.Lurton, S.Diallo, E.Guillard, F.Huber., L.Pizarro Download the poster   Création d'un outil permettant de visualiser simplement la couverture des besoins en ARV dans un contexte d'extension de la prise en charge Autor(s) : E. Guillard, X. Paris, S. Ouvrard, M. Diallo, L. Pizarro Download the poster   Première évaluation nationale de la réponse virologique aux antirétroviraux à Madagascar Autor(s) : S. Andriantsimietry, F. Lamontagne, M. Randria, J. Nely, S. Randriamampionona, VJ. Soanomena, WR Lehimena, JN Andriambelo, F. Huber, L.R. Razanakolana Download the poster   "Effet-centre" et fidélisation du patient infecté par le VIH dans le circuit de soin. Expérience de 2 pays Ouest-africains Autor(s) : F. Huber, A. Akondé, G. Lurton, I. Kamaye, AB. Dicko, S. Diallo, S. Tchiombiano, N. Daries, P. Teisseire, L. Pizarro Download the poster

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3rd Scientific Sessions – Niamey, October 2009



The Scientific Days, organized by the ULSS and CMT, in partnership with Solthis and GIP Esther, took place on 2 and 3 October 2009 in Niamey in the presence of Professor Katlama (Solthis President), Prof. Brucker (Treasurer Solthis and CEO of Esther) but also of Dr Kassi (Ivory Coast) and Professor Toure (Senegal). More than 250 physicians, health professionals, representatives of the fight against HIV, tuberculosis in Niger attended these days. Many topics on Chess therapeutic Opportunistic Infections, PMTCT, Accidents of exposure to blood and the delegation of tasks were discussed.


Biovision conference – Lyon, March 2009

2009 |  Conferences


Technical Assistance to improve HIV National Information System in Niger Author(s) : C. Dézé, G. Lurton, L. Pizarro   Download the Biovision conference Information system presentation

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Le vécu quotidien des personnes vivant avec le VIH à Niamey

2008 |  Research papers


Author : A. Diarra et A. Moumouni - preface : JP. Olivier de Sardan Research assistants : M. Moha, O. Issaka, A. Ousseini Partners : LASDEL

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XVth ICASA – Dakar, December 2008

2008 |  Posters


HIV/AIDS care and follow-up on a national scale in low resource settings: experience of the Niger Initiative on Antiretroviral Access (INAARV), Niger Author(s) : M. Ide, Y. Madec, M. Boubacar, E. Adehossi, C. Dezé, GM. Lawal, O. Amadou, S. Diallo, C. Pizzocolo, IA. Touré, S. Mamadou, C. Katlama and the National Technical Committee Download the presentation   Pilot cell comprehensive care: a multidisciplinary service orientation and listening PHAs, Niger Author(s) : A. Alzouma, C. Dezé, B. Sabo, M. Bako, S. Maman, I. Mourtala, M. Goundara, F. Djermakoye, M. Ide, F. Aeberhard Download the presentation   The impact of prior recourse to traditional medicine on the out-of-pocket expenditure of HIV/AIDS patients in Niger Author(s): S. Walker, S. Tchiombiano, A. Maiga, R. Hassane, M. Idé, AH. Souna, V. Bignon, O. Weil, L. Pizarro Download the presentation   Incidence and risk factor for tuberculosis (TB) in HIV patients on ART, Niger Author(s): A. Foucher, Y. Madec, S. Diallo, Z. Thiousso, I. Dillé, S. Gambo, HA. Souna, A. Oumarou, A. Manou, GM. Laoual, Al. Touré, C. Pizzocolo, L. Pizarro, A. Fontanet Download the presentation   Decentralized access to triple therapy and viral load monitoring in West Africa (Mali) Author(s) : A. Akondé, Y. Madec, AB. Dicko, I. Haidarra, I. Katile, B. Diarra, M. Kye, A. Doumbia, C. Pizzocolo, C. Katlama and the Segou Medical Technical Committee Download the presentation   A method of HAART decentralization in rural areas: Solthis' experience in Segou (Mali) Author(s) : P. Teisseire, A. Akondé, C. Pizzocolo, S. Calmettes, S. Dalglish, N. Bodo, L. Pizarro Download the presentation   Prevention of mother-to-child transmission of HIV (PMTCT) in a rural setting : the experience of the Segou region in Mali Author(s) : CD. Traoré, A.akondé, T. Samake, T. Traoré, Y. Coulibaly, O. Coulibaly, A. Sidibé, D. Germanaud, Z. Traoré, A. Maiga, AG. Marcelin, C. Pizzocolo, C. Katlama and the Segou Medical Technical Committee Download the presentation   Appraisal of treatment modification in HIV patient follow-up in the region of Segou (Mali) Author(s) : J. Landier, A. Akondé, C. Pizzocolo, I. Haidara, M. Drabo, L. Pizarro, A. Fontanet, C. Katlama, Y. Madec Download the presentation   Etude virologique chez des sujets VIH-1 suivis à Madagascar Author(s) : F. Lamontagne, S. Andriantsimietry, ML. Chaix, JP. Viard, M. Randria, J. Nely, S. Randriamampionona, C. Aguilar, S. Royer, C. Pizzocolo, LR. Razanakolona, C. Rouzioux Download the presentation

International AIDS Conference – Mexico City, August 2008

2008 |  Posters


HIV-infected children in the context of the Niger Initiative on Antiretroviral Access (INAARV), Niger (West Africa) Author(s) : R. Abdoulaye-Mamadou, I. Adehossi, Y. Madec, C. Dezé, W. Alkassoum, M. Mahamane, I. Daouda, M. Amadou, D. Germanaud, C. Pizzocolo, S. Mamadou, C. Katlama and the National Technical Pediatric Committee Download the presentation   Looking for lost to follow-up patients: experiences of Segou (Mali) Author(s) : G. Lurton, A. Akondé, Y. Madec, P. Teisseire, T. Traore, B. Touré, D. Cissé, C. Koumaré, C. Pizzocolo, L. Pizarro, C. Katlama, and the Segou Medical Technical Committee Download the presentation

Les personnels de santé face au Sida et à la prise en charge des PVVIH à Niamey. Transformation ou reproduction des représentations et pratiques habituelles ?

2008 |  Research papers


Authors : A. Diarra, A. Moumouni - préface : JP. Olivier de Sardan Research assistants : M. Moha, O. Issaka Partners : LASDEL

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GERES – Cotonou, Bénin, march 2008

2008 |  Oral presentations


Enquête comportementale face aux Accidents d'Exposition au Sang (AES) dans deux structures sanitaires de Zinder (Niger) Author(s) : M. Aminou Brah, C. Dézé

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L’appui alimentaire aux PVVIH à Niamey (approche socio-anthropologique)

2007 |  Research papers


Authors : A. Diarra, A. Moumouni Research assistants : M. Moha, O. Issaka Partners : LASDEL

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Le statut socio-économique et l’accès aux traitements contre le VIH/sida au Niger

2007 |  Research papers


Author : S. Dalglish Tutor : L. Pizarro Partners : Sciences Po

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Les visites à domicile auprès des PVVIH à Niamey (approche socio-anthropologique)

2007 |  Research papers


Authors : A. Diarra, A. Moumouni Research assistants : M. Moha, O. Issaka Partners : LASDEL

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La prise en charge des PVVIH et l’observance des ARV à Niamey (approche socio-anthropologique)

2006 |  Research papers


Authors : JP. Olivier de Sardan, A. Diarra, A. Moumouni Research assistants : M. Moha, O. Issaka Partners : LASDEL

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XIVème ICASA – Abuja, december 2005

2005 |  Oral presentations


Evaluation of safety and toxicity of nevirapine-containing regimen (D4T-3TC-NVP) in ARV nevirapine naive patients in Niamey (Niger) Author(s) : V. Meyssonnier-Pizarro

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